Board of Health

Meeting No.:
1
Contact:
Candy Davidovits, Committee Administrator
Meeting Date:
Thursday, January 6, 2011

Phone:
416-392-8032
Start Time:
1:00 PM
E-mail:
boh@toronto.ca
Location:
Committee Room 1, City Hall
Chair:
Councillor John Filion

 

Board of Health

Councillor John Filion, Chair

Councillor Raymond Cho

Councillor Sarah Doucette

Councillor Paula Fletcher

Councillor Joe Mihevc

Councillor Gord Perks
Trustee Soo Wong
Alejandra Bravo

Eduardo Castro

Vaijayanthi Chari

Fiona Nelson

Lisa O’Brien

Valerie Sterling

 

Members of the Board and Staff: Please keep this agenda and the accompanying material until the City Council meeting dealing with these matters has ended.  The City Clerk’s Office will not provide additional copies.

 

Special Assistance for Members of the Public: City staff can arrange for special assistance with some advance notice.  If you need special assistance, please call 416‑397-7767, TTY 416-338-0889 or e-mail boh@toronto.ca.

 

Closed Meeting Requirements: If the Board of Health wants to meet in closed session (privately), a member of the Board must make a motion to do so and give the reason why the Board has to meet privately.  (City of Toronto Act, 2006)

 

Notice to people writing or making presentations to the Board of Health: The City of Toronto Act, 2006 and the City of Toronto Municipal Code authorize the City of Toronto to collect any personal information in your communication or presentation to City Council or its committees. The City collects this information to enable it to make informed decisions on the relevant issue(s). If you are submitting letters, faxes, e-mails, presentations or other communications to the City, you should be aware that your name and the fact that you communicated with the City will become part of the public record and will appear on the City’s website. The City will also make your communication and any personal information in it – such as your postal address, telephone number or e-mail address – available to the public, unless you expressly request the City to remove it.

 

The City videotapes committee and community council meetings. If you make a presentation to a committee or community council, the City will be videotaping you and City staff may make the video tapes available to the public.

 

If you want to learn more about why and how the City collects your information, write to the City Clerk's Office, City Hall, 100 Queen Street West, Toronto ON M5H 2N2 or by calling 416-392-8032.

 

 

Declarations of Interest under the Municipal Conflict of Interest Act.

 

Confirmation of Minutes - November 22, 2010

 

Speakers/Presentations – A complete list will be distributed at the meeting.

 

Communications/Reports

 

HL1.1 - Election of Chair for 2011

Consideration Type:
ACTION

Summary

The Board of Health to elect its Chair for 2011.

HL1.2 - Election of Vice-Chair for 2011

Consideration Type:
ACTION

Summary

The Board of Health to elect its Vice-Chair for 2011.

HL1.3 - Toronto Public Health 2011 Operating Budget Request

Consideration Type:
ACTION
Wards:
All

Origin

(December 22, 2010) Report from Medical Officer of Health

Recommendations

The Medical Officer of Health recommends that:

 

1.         City Council approve the Toronto Public Health 2011 Operating Budget request of $231,844.0 thousand gross / $44,328.5 net as summarized in Table 1 of the report (December 22, 2010) from the Medical Officer of Health "2011 Operating Budget Request".

 

2.         City Council approve the list of base budget adjustments included in Table 3 of the report (December 22, 2010) from the Medical Officer of Health, "Summary of 2011 Operating Budget Request" totalling an increase of $6,415.6 thousand gross and $160.9 thousand net.

 

3.         City Council approve one 2011 New and Enhanced Service for Investing in Families program with an increase of $100.0 thousand gross / $0.0 net that is funded by Toronto Employment and Social Services.

 

4.         City Council continue to invest sufficient municipal funds to maintain and strengthen public health services in Toronto and to leverage all available provincial funding to promote and protect the health of the Toronto population.

 

5.         The Board of Health forward this report to the City's Budget Committee for its consideration during the 2011 budget process.

Summary

This report outlines the Toronto Public Health (TPH) 2011 Operating Budget request for consideration by the Board of Health.

 

The TPH 2011 Operating Budget Request totals $231,844.0 thousand gross / $44,328.5 thousand net.  This request is $6,515.6 thousand gross and $160.9 thousand net (0.4 percent) above the 2010 Operating Budget.  The net increase of $160.9 thousand over the 2010 Operating Budget is comprised entirely of base budget increases for the negotiated collective agreement.

Financial Impact

The TPH 2011 Operating Budget request totals $231,844.0 thousand gross / $44,328.5 thousand net. This request is $6,515.6 thousand gross and $160.9 thousand net (0.4 percent) above the 2010 Operating Budget. The requested increase is for base changes, with the exception of $100.0 thousand gross and $0.0 net, and one new position for the Investing in Families program.

 

See Table 1 in the staff report for further financial impact information.

 

TPH has reviewed its services and costs and where achievable absorbed expected inflation increases and reduced costs in the 2011 budget request.   TPH has reviewed the 2011 Request with the City Manager and the Chief Financial Officer.  Corporate Financial Planning is recommending the TPH 2011 Operating Budget Request except for the planned reduction in corporate overhead charges of $650 thousand gross /$162.5 thousand net. Due to the City's current fiscal position, the City's Financial Planning Division is not recommending this reduction. The provincial funding from this charge benefits the City by offsetting costs for other City programs.

 

The corporate overhead charge from the City is for general municipal services provided to TPH.  This is a third annual planned reduction based on a review of this cost allocation by the City's Internal Audit Division.  The revised corporate charge was reviewed and validated by Corporate Accounting and the City's Internal Auditor in 2008 and a schedule was initiated in the 2009 operating budget cycle to allocate the full reduction required over five years. There is no impact on public health service to the community from this reduction although the savings could be reallocated to delivering services.

Background Information

(December 22, 2010) Report from the Medical Officer of Health on Toronto Public Health 2011 Operating Budget Request
https://www.toronto.ca/legdocs/mmis/2011/hl/bgrd/backgroundfile-34716.pdf
(December 22, 2010) Appendix 1 - Toronto Public Health's 2011 Operating Budget Submission
https://www.toronto.ca/legdocs/mmis/2011/hl/bgrd/backgroundfile-34717.pdf
(January 6, 2011) Presentation from the Medical Officer of Health on the Board of Health Operating and Capital Budget Submission 2011
https://www.toronto.ca/legdocs/mmis/2011/hl/bgrd/backgroundfile-34824.pdf

Communications

(January 6, 2011) E-mail from Peter Clarke (HL.New.HL1.3.1)
(January 6, 2011) Letter from Councillor Paula Fletcher, Toronto-Danforth, Ward 30 (HL.New.HL1.3.2)
https://www.toronto.ca/legdocs/mmis/2011/hl/comm/communicationfile-18801.pdf

HL1.4 - Toronto Public Health 2011 - 2020 Capital Budget and Plan Request

Consideration Type:
ACTION
Wards:
All

Origin

(December 22, 2010) Report from Medical Officer of Health

Recommendations

The Medical Officer of Health recommends that:

 

1.         City Council approve a 2011 Capital Budget Request for Toronto Public Health with a total project cost of $3.375 million and a 2011 cash flow of $5.791 million and future year commitments of $9.625 million as detailed in Appendix 1, Table 2 “Toronto Public Health 2011-2020 Capital Budget and Plan Submission”. The 2011 Capital Budget is comprised of the following:

 

a.          new cash flow funding for:

i.          one new sub-project and seven change in scope sub-projects with a 2011 total project cost of $3.375 million that requires a reduction in cash flow of $0.305 million in 2011 and future year commitments of $0.405 million in 2012; $0.640 million in 2013; $1.353 million in 2014; and, $1.282 million in 2015; and

ii.          seven previously approved sub-projects with a 2011 cash flow of $3.843 million and future year commitments of $3.933 million in 2012 and $2.012 million in 2013; and

b.         2010 approved cash flow for six previously approved sub-projects with carry forward funding from 2010 into 2011 totaling $2.253 million.

 

2.         City Council approve the 2012-2020 Capital Plan for Toronto Public Health totaling $21.814 million in project estimates, comprised of $0.744 million in 2013, $2.040 million in 2014,  $2.114 million in 2015, $3.392 million in 2016, $3.388 million in 2017,  $3.363 million in 2018, $3.373 million in 2019, and $3.400 million in 2020.

 

3.         City Council direct that the net operating impacts in the Toronto Public Health operating budget of $0.027 million for 2012, and $0.028 million in 2013, arising from the approval of the 2011 Capital Budget, be considered within the 2012 and future year operating budgets.

 

4.         The Board of Health forward this report including the attachment to the City's Budget Committee for its consideration during the 2011 budget process.

Summary

This report provides an overview of the Toronto Public Health (TPH) 2011 Capital Budget and 2012-2020 Capital Plan for consideration and approval by the Board of Health.

 

TPH is submitting a 2011 – 2020 Capital Budget and Plan request of $34.978 million, including a 2011 Capital Budget of $3.539 million, future year commitments of $9.625 million and a 2012 – 2020 Capital Plan of $21.814 million. The Debt Affordability Target provided by the City for TPH is $4.507 million in 2011, $3.400 million in 2012 and $3.400 million in each year from 2013 to 2020 for a total of $35.107 million.

 

The 10-Year Capital Budget and Plan request will provide funding for fourteen Information Technology (IT) projects that support improvement of service delivery with the development and enhancement of systems while complying with provincial mandatory reporting requirements. The associated operating impact of these fourteen IT projects at the end of ten years is $0.222 million gross/$0.055 million net expenditure that includes two new positions and ongoing costs for service and maintenance.

Financial Impact

TPH is submitting a 2011 Capital Budget and 2012 - 2020 Capital Plan request of $34.978 million, including 2011 cash flow of $3.539 million (excluding the carry forward funding from 2010) which is entirely financed from debt. The approved annual Debt Affordability Target for TPH is $4.507 million in 2011, $3.400 million in 2012, and $3.400 million in each year from 2013 to 2020. The total requested amount for the 2011 Capital Budget and 9-Year Capital Plan (2012-2020) meets the Debt Affordability Target of $35.107 million as shown in Table 1 below. The 2011-2020 Capital Budget and Plan is $0.129 million under the Debt Affordability Target due to HST savings. The associated operating impact of these capital projects on the TPH Operating Budget at the end of ten years will be $0.222 million gross and $0.055 million net that includes two new positions and ongoing costs for service and maintenance.

 

A shift in cash flow funding from 2011 to 2012 was done with the City's Financial Planning Division.  The TPH debt target will be revised in 2012 from $3.400 million to $4.338 million to reflect the shift in funding.

 

See Table 1 in the staff report for further financial impact information.

 

The Deputy City Manager and Chief Financial Officer has reviewed this report and agrees with the financial impact information.

Background Information

(December 22, 2010) Report from the Medical Officer of Health on Toronto Public Health 2011-2020 Capital Budget and Plan Request
https://www.toronto.ca/legdocs/mmis/2011/hl/bgrd/backgroundfile-34718.pdf
(December 22, 2010) Appendix 1 - Toronto Public Health 2011-2020 Capital Budget and Plan Submission
https://www.toronto.ca/legdocs/mmis/2011/hl/bgrd/backgroundfile-34719.pdf
(January 6, 2011) Presentation from the Medical Officer of Health on the Board of Health Operating and Capital Budget Submission 2011
https://www.toronto.ca/legdocs/mmis/2011/hl/bgrd/backgroundfile-34825.pdf

HL1.5 - Food Safety Program - Provincial Funding Enhancement

Consideration Type:
ACTION
Wards:
All

Origin

(December 22, 2010) Report from Medical Officer of Health

Recommendations

The Medical Officer of Health recommends that:

 

1.         City Council increase the Toronto Public Health Recommended 2011 Operating Budget for one-time funding of $329,972 gross and $0.0 net as provided by the Ministry of Health and Long Term Care to enhance the Toronto Food Safety Program.

 

2.         This report be forwarded to the Budget Committee meeting of January 10, 2011, for consideration.

Summary

This report is submitted to request an amendment to the Toronto Public Health (TPH) Operating Budget for 2011.  This amendment is required as result of the provision of one-time, one hundred percent.  Provincial funding in the amount of $329,972 as part of the Ontario Government's response to Justice Haines' recommendations in his report "Farm to Fork; A Strategy for Meat Safety in Ontario."

 

This funding enhancement will assist in compliance with the Ontario Public Health Standard Food Safety Standards.  The provincial government requires that this one-time funding be used to enhance the current food safety program.

Financial Impact

The Ministry of Health and Long Term Care has approved a one-time grant of $329,972  gross and $0.0 net to TPH for the Farm to Fork; A Strategy for Meat Safety in Ontario (Haines' funding). This enhancement is one-time, one hundred percent provincial funding and must be fully expensed by no later than March 31, 2011.

 

No new positions are being requested to implement this enhancement.  The funding goals will be achieved through expanded after-hours (overtime based) activity that is equivalent to eight full time equivalent positions for the duration of the funding (January 1, 2011 through March 31, 2011).

 

The table below summarizes the requested one-time budget adjustment to the Toronto Public Health 2011 Operating Budget.

 

 

Gross

Revenue

Net

 

Enhancement of Food Safety Program

 

 

$329,972

 

$329,972

 

$0.0

 

The Deputy City Manager and Chief Financial Officer has reviewed this report and agrees with the financial impact information.

Background Information

(December 22, 2010) Report from the Medical Officer of Health on Food Safety Program - Provincial Funding Enhancement
https://www.toronto.ca/legdocs/mmis/2011/hl/bgrd/backgroundfile-34720.pdf

HL1.6 - 2011 Budget Request for Strengthening Student Nutrition Programs in Toronto: Year Two of a Five-Year Plan

Consideration Type:
ACTION
Wards:
All

Origin

(December 22, 2010) Report from Medical Officer of Health

Recommendations

The Medical Officer of Health recommends that:

 

1.         The Board of Health endorse the request for a $22,780 net increase to the Community Partnership and Investment Program (CPIP) 2010 Operating Budget for existing student nutrition programs to cover increased food costs.

 

2.         The Board of Health endorse the request for an additional net increase of $274,141 to the CPIP 2010 Operating Budget to extend municipal funding to 30 student nutrition programs in provincially designated communities that have not previously been funded by the City.

 

3.         The Medical Officer of Health report to the Board of Health, prior to the 2012 budget process, with a status update on the five-year plan for student nutrition programs, and a separate report on the student nutrition program review currently underway, as directed by the Board of Health in 2009.

 

4.         The Board of Health forward this report to the Budget Committee for consideration during the 2011Operating Budget process.

 

5.         The Board of Health forward this report for information to the Ontario Minister of Children and Youth Services, the Ontario Minister of Health Promotion and Sport, the Toronto District School Board and the Toronto Catholic District School Board.

Summary

In June 2009, the Board of Health endorsed a five-year plan to strengthen Student Nutrition Programs in Toronto. The programs continue to grow in response to the health and nutrition needs of Toronto children and youth.  In 2011, the Student Nutrition Program will be entering its second year of the plan.  A full status update of the five-year plan will be part of a subsequent report to the Board of Health.

 

This report presents the program status during year two of the five-year plan and outlines a service enhancement request for 2011 in accordance with the key objectives of the original plan. The report proposes incorporating a minor funding adjustment to address the rising cost of food and an incremental increase to extend municipal funding to 30 designated school communities currently receiving only provincial funding.

 

The provincially designated communities are low income communities where children and youth are at nutritional risk. A key objective of the five year plan is to expand student nutrition program coverage in phases and to the extent possible, pursuing alignment with provincial efforts – thereby increasing the sustainability of the programs in high need areas.

Financial Impact

To extend municipal funding to 30 provincially designated school communities that currently receive provincial funding but not municipal funding and to meet the increased cost of food for existing programs in Toronto, an additional $296,921 is required for 2011.

 

This enhancement is less than outlined for year two in the original Student Nutrition Program five-year plan endorsed by the Board of Health in June 2009. This difference is solely due to a lower rate of food inflation (0.6%) than originally projected (3%) based on long-term averages.

 

This recommended service enhancement of $296,921 will bring the student nutrition program base budget of $3,796,576 within the Community Partnership and Investment Program (CPIP) to $4,093,597 and is subject to the 2011 Operating Budget process.

 

 

Focus of Investment

Recommendation

Net Increase

Food costs:

Provide a 0.6% cost of food increase for all programs, based on the 2010 Nutritious Food Basket, which found that food costs increased by 0.6% between 2009 and 2010.

Endorse additional municipal funds of $22,780, to cover increased food costs, noting that the municipal funding of Student Nutrition Programs is meant for improving access to nutritious foods.

$     22,780

Extension of municipal grant to programs in provincially designated communities:

Provides for municipal core government funding to 30 additional school communities.

Endorse additional municipal funds of $274,141 to provide core government funding to 30 school communities reaching approximately 9,300 children.

$  274,141

 

 

Total net increase recommended

$   296,921

New recommended base budget:

$3,796,576 + $296,921

$4,093,497

 

 

The Deputy City Manager and Chief Financial Officer has reviewed this report and concurs with the financial impact information.

 

Funds are allocated to programs by the Toronto Partners for Student Nutrition (TPSN) Steering Committee.  Standardized meal costs per student are used to estimate program costs.

Background Information

(December 22, 2010) Report from the Medical Officer of Health on 2011 Budget Request for Strengthening Student Nutrition Programs
https://www.toronto.ca/legdocs/mmis/2011/hl/bgrd/backgroundfile-34715.pdf

Communications

(January 6, 2011) E-mail from Peter Clarke (HL.New.HL1.6.1)
Source: Toronto City Clerk at www.toronto.ca/council